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CARLYN CROMER FNP
NPI 1912436684
Nurse Practitioner - Family in Tyler, TX

Active since June 07, 2017PECOS Enrolled
4809 OLD BULLARD RD STE 500, TYLER, TX 75703(903) 579-7261 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2023, Jun 7, 2017 (2 updates tracked since 2017).

About Carlyn Cromer Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLYN CROMER FNP (NPI 1912436684) is an individual family provider in Tyler, Texas, licensed in Texas (AP134107) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912436684
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLYN CROMERCredential: FNP
Location Address4809 OLD BULLARD RD STE 500Tyler, TX 75703-1248
Mailing Address1420 Wsw Loop 323 Ste 100Tyler, TX 75701-9347
Phone(903) 579-7261
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1912436684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP134107
4809 OLD BULLARD RD STE 500, Tyler, TX 75703
Open in Google Maps ↗

Other Names 1

Former Name (1)Carlyn Cusack

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlyn Cromer Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870078611
PECOS Enrollment IDI20260331000214
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carlyn Cromer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oliver Street 5.01(a) Inc.
98 mi
Dermatology
5310 HARVEST HILL RD STE 290
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 163 clinicians in this Medicare group
NPI 1457695413 (214) 420-0672

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlyn Cromer's NPI number?

The NPI number for Carlyn Cromer is 1912436684. It was assigned to this individual provider in the NPPES registry on June 7, 2017. The provider is also known as Carlyn Cusack.

Where is Carlyn Cromer located?

Carlyn Cromer practices at 4809 Old Bullard Rd Ste 500, Tyler, TX 75703. The listed phone number is (903) 579-7261.

What is Carlyn Cromer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carlyn Cromer enrolled in Medicare?

Yes. Carlyn Cromer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlyn Cromer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlyn Cromer reassigns Medicare benefits to Oliver Street 5.01(a) Inc. (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlyn Cromer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlyn Cromer accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Carlyn Cromer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlyn Cromer was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.